Motor-driven surgical cutting instrument

• US 10,898,184 B2
• Filed: 09/28/2018
• Issued: 01/26/2021
• Est. Priority Date: 09/23/2008
• Status: Active Grant

• Current Assignee: Cilag Gmbh International (Johnson & Johnson)
• Original Assignee: Ethicon, LLC (Johnson & Johnson)
• Inventors: Yates, David C., Shelton, IV, Frederick E., Smith, Bret W., Swensgard, Brett E.
• Primary Examiner(s): Wittenschlaeger, Thomas M
• Application Number:
  US16/146,065
• Publication Number:
  US 20190029676A1
• Time in Patent Office: 851 Days
• CPC Class Codes: A61B 17/068 Surgical staplers , e.g. containing multiple staples or clampsstaplers containing only one staple A61B17/10; magazines or containers for staples A61B17/105; for performing anastomosis A61B17/115; staplers in general B25C5/00
• CPC Class Codes: A61B 17/07207 the staples being applied sequentially
• CPC Class Codes: A61B 17/105 Wound clamp magazines for packaging sharps A61B50/3001
• CPC Class Codes: A61B 17/32 Surgical cutting instruments A61B18/042 takes precedence; suture cutters A61B17/0467; instruments for ligaturing or cutting A61B17/128; instruments for rupturing the amniotic membrane A61B17/4208; specially adapted knives for eye surgery A61F9/0133
• CPC Class Codes: A61B 17/3205 Excision instruments
• CPC Class Codes: A61B 2017/00017 Electrical control of surgical instruments
• CPC Class Codes: A61B 2017/00154 pulsed
• CPC Class Codes: A61B 2017/00398 using powered actuators, e.g. stepper motors, solenoids
• CPC Class Codes: A61B 2017/00734 battery operated
• CPC Class Codes: A61B 2017/07271 characterised by its cartridge
• CPC Class Codes: A61B 2017/07278 characterised by its sled or its staple holder
• CPC Class Codes: A61B 2017/07285 characterised by its cutter
• CPC Class Codes: A61B 2017/2923 Toothed members, e.g. rack and pinion
• CPC Class Codes: A61B 2017/2927 the angular position of the head being adjustable with respect to the shaft
• CPC Class Codes: A61B 2017/320052 Guides for cutting instruments by marking A61B2090/395
• CPC Class Codes: G16Z 99/00 Subject matter not provided for in other main groups of this subclass

Abstract

A motor-driven surgical cutting and fastening instrument that comprises an end effector, an electric motor, and a motor control circuit. The motor control circuit is for monitoring a parameter of the electric motor that is indicative of movement of a moveable member of the end effector, and for adjustably controlling the electric motor based on the monitored parameter to thereby adjustably control movement of the moveable member of the end effector during forward rotation of the electric motor.

Claims

1. A surgical instrument, comprising:

an end effector configured to clamp tissue, wherein said end effector comprises a moveable member comprising a cutting element that, when actuated, longitudinally traverses said end effector along a cutting travel path to cut tissue clamped in said end effector, wherein said cutting travel path has an initial position and an end-of-stroke position;

an electric motor that drives said moveable member of said end effector toward said end-of-stroke position when said electric motor is forward rotated, wherein said electric motor retracts said moveable member of said end effector away from said end-of-stroke position when said electric motor is reverse rotated, and wherein said electric motor is configured to actuate said cutting element of said end effector; and

a motor control circuit connected to said electric motor, wherein said motor control circuit is configured to adjustably control said electric motor to thereby adjustably control movement of said moveable member of said end effector during reverse rotation of said electric motor, and wherein said motor control circuit comprises;

a power source connected to said electric motor for electrically powering said electric motor; and

a current control circuit connected to said power source for varying the current supplied to said electric motor from said power source, wherein said current control circuit controls said electric motor according to a switching architecture when said electric motor is reverse rotated, and wherein the switching architecture comprises;

a first, low power operational mode, wherein said first, low power operational mode is pre-set by said motor control circuit; and

a second, high power operational mode, wherein said second, high power operational mode is pre-set by said motor control circuit, and wherein greater current is supplied to said electric motor during said second, high power operational mode than during said first, low power operational mode.

2. A surgical instrument, comprising:

an end effector comprising a firing element, wherein said firing element is configured to move along a firing path, and wherein said firing path comprises;

an initial position; and

an end-of-stroke position;

an electric motor, wherein said electric motor is configured to drive said firing element in a first direction along said firing path when said electric motor is rotated in a first rotational direction, and wherein said electric motor is configured to retract said firing element in a second direction along said firing path when said electric motor is rotated in a second rotational direction; and

a control circuit configured to control said electric motor, wherein said control circuit is configured to switch between a plurality of operational modes during rotation of said electric motor in said second rotational direction, and wherein said plurality of operational modes comprises;

a first operational mode, wherein a pre-determined first amount of current is supplied to said electric motor during said first operational mode, and wherein said first amount of current is pre-determined by said control circuit; and

a second operational mode, wherein a pre-determined second amount of current is supplied to said electric motor during said second operational mode, wherein said second amount of current is pre-determined by said control circuit, and wherein said pre-determined second amount of current is greater than said pre-determined first amount of current.

3. The surgical instrument of claim 2, further comprising a sensor configured to detect a condition of said firing element indicative of a position of said firing element along said firing path, wherein said sensor is in signal communication with said control circuit.

4. The surgical instrument of claim 2, wherein said control circuit controls said electric motor to rotate in said second rotational direction to move said firing element in said second direction along said firing path, wherein said second direction is different than said first direction, and wherein said second rotational direction is different than said first rotational direction.

5. The surgical instrument of claim 2, wherein said control circuit is configured to switch between said first operational mode and said second operational mode during rotation of said electric motor in said first rotational direction.

6. A surgical instrument, comprising:

an end effector comprising a drive element, wherein said drive element is configured to move along a drive path, and wherein said drive path comprises;

an initial position; and

an end position;

an electric motor system, wherein said electric motor system is configured to drive said drive element in a first direction along said drive path, and wherein said electric motor system is configured to move said drive element in a second direction along said drive path; and

a control circuit configured to control said electric motor system, wherein said control circuit is configured to operate in a plurality of operational modes when retracting said drive element, and wherein said plurality of operational modes comprises;

a first operational mode, wherein a first amount of current is supplied to said electric motor system during said first operational mode, and wherein said first amount of current is pre-determined by said control circuit; and

a second operational mode, wherein a second amount of current is supplied to said electric motor system during said second operational mode, wherein said second amount of current is pre-determined by said control circuit, and wherein said second amount of current is greater than said first amount of current.

7. The surgical instrument of claim 6, wherein said second direction is different than said first direction.